首页|探讨针灸配合推拿在神经根型颈椎病中的作用

探讨针灸配合推拿在神经根型颈椎病中的作用

Discussion on the role of acupuncture and moxibustion combined with massage in cervical spondylotic radiculopathy

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目的 分析针灸配合推拿治疗神经根型颈椎病的效果.方法 选择 60 例神经根型颈椎病患者作为研究对象,按照随机数字表法分为对照组(30 例,采取常规西药治疗)和观察组(30 例,采取针灸配合推拿治疗).比较两组患者的治疗效果、随访 1 年复发率、症状积分、颈椎功能障碍指数量表(NDI)评分、视觉模拟评分法(VAS)评分、生活质量综合评定问卷(成人)-74(GQOL-74)评分.结果 治疗后,观察组患者治疗总有效率 96.67%高于对照组的 80.00%(P<0.05).观察组随访 1 年复发率 10.00%低于对照组的 40.00%(P<0.05).治疗后,两组的单肢麻木、上肢麻木疼痛、颈项不适积分下降,且观察组患者单肢麻木、上肢麻木疼痛、颈项不适积分分别为(1.01±0.15)、(0.95±0.10)、(0.92±0.10)分,均明显低于对照组的(1.80±0.20)、(1.55±0.20)、(1.55±0.20)分(P<0.05).治疗后,两组NDI、VAS评分下降,且观察组患者NDI、VAS评分分别为(5.80±0.80)、(1.50±0.30)分,均明显低于对照组的(10.80±1.20)、(3.95±0.70)分(P<0.05).治疗后,两组的躯体功能、心理功能、社会功能、物质生活评分提升,观察组患者躯体功能、心理功能、社会功能、物质生活评分分别为(94.30±3.03)、(95.02±3.30)、(95.02±3.03)、(95.20±2.30)分,均明显高于对照组的(90.03±2.50)、(90.02±2.50)、(90.02±2.50)、(90.03±3.02)分(P<0.05).结论 针灸配合推拿治疗神经根型颈椎病患者预后良好.
Objective To analyze the effect of acupuncture and moxibustion combined with massage in the treatment of cervical spondylotic radiculopathy.Methods A total of 60 patients with cervical spondylotic radiculopathy were selected as the study subjects.According to the random number table,they were divided into a control group(30 cases,conventional western medicine)and an observation group(30 cases,acupuncture and moxibustion and massage).Comparison was made on therapeutic effect,recurrence rate at 1-year follow-up,symptom score,Nec kdisability index(NDI)score,visual analogue scale(VAS)score and generic quality of life inventory-74(GQOL-74)score between the two groups.Results After treatment,the total effective rate of the observation group was 96.67%,which was higher than 80.00%of the control group(P<0.05).The recurrence rate at 1-year follow-up of the observation group was 10.00%,which was lower than 40.00%of the control group(P<0.05).After treatment,the scores of single limb numbness,upper limb numbness and pain,and neck discomfort in the two groups decreased;the scores of single limb numbness,upper limb numbness and pain,and neck discomfort of patients in the observation group were(1.01±0.15),(0.95±0.10),and(0.92±0.10)points,which were significantly lower than(1.80±0.20),(1.55±0.20),and(1.55±0.20)points in the control group(P<0.05).After treatment,NDI and VAS scores decreased in both groups;NDI and VAS scores in the observation group were(5.80±0.80)and(1.50±0.30)points,which were significantly lower than(10.80±1.20)and(3.95±0.70)points in the control group(P<0.05).After treatment,the scores of physical function,psychological function,social function and material life improved in both groups;the scores of physical function,psychological function,social function and material life in the observation group were(94.30±3.03),(95.02±3.30),(95.02±3.03)and(95.20±2.30)points,which were ignificantly higher than(90.03±2.50),(90.02±2.50),(90.02±2.50)and(90.03±3.02)points in the control group(P<0.05).Conclusion Acupuncture and moxibustion combined with massage has a good prognosis for cervical spondylotic radiculopathy.

Acupuncture and moxibustionMassageCervical spondylotic radiculopathyTherapeutic effect

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361100 厦门市同安区祥平街道社区卫生服务中心

针灸 推拿 神经根型颈椎病 治疗效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(15)
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